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Total Results: 31 records

Showing results for "adverse".

1. Adverse and Temporary Harm Events in Rehabilitation Hospitals Designated in OIG Report as Clearly Preventable or Likely Preventable by Clinical Category (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/adverse-events-rehab-hospitals.pdf
   July 01, 2016 - Adverse and Temporary Harm Events in Rehabilitation Hospitals Designated in OIG Report as Clearly Preventable … or Likely Preventable by Clinical Category Page 1 of 4 Adverse and Temporary Harm Events in Rehabilitation … Inspector General Report1 as Clearly Preventable or Likely Preventable, by Clinical Category Adverse … period of unresponsiveness and blood glucose of 29 resulting in transfer to an acute-care hospital Adverse … Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries, OEI-06-

2. Related Office of Inspector General (OIG) Reports | PSO
   pso.ahrq.gov/resources/oig-reports
   August 01, 2025 - AHRQ is disseminating information related to these reports to increase understanding of adverse events … Capture Half of Patient Harm Events, Limiting Information Needed to Make Care Safer (July 24, 2025) Adverse … Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018 (May 2022) Adverse … Events in Hospitals: National Incidence Among Medicare Beneficiaries (November 2010) (PDF, 3.4 MB) Adverse … Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries (July 2016) Adverse

3. Adverse and Temporary Harm Events in Long-Term-Care Hospitals (LTCH) Designated in Office of Inspector General Report1 as Clearly Preventable or Likely Preventable, by Clinical Category (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/oig-list-long-term-care-hospitals-2019.pdf
   January 01, 2019 - Adverse and Temporary Harm Events in Long-Term-Care Hospitals (LTCH) Designated in Office of Inspector … General Report1 as Clearly Preventable or Likely Preventable, by Clinical Category Page 1 of 9 Adverse … of Inspector General Report1 as Clearly Preventable or Likely Preventable, by Clinical Category Adverse … Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries, OEI-06- … events • Meningoencephalitis with delayed recognition contributing to patient death Adverse Events

4. Choosing a Patient Safety Organization: Tips for Hospitals and Health Care Providers (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/ChoosingPSO_2016.pdf
   January 01, 2016 - challenging, you must gain the trust of clinicians who may fear the results of acknowledging their role in adverse … ■ Feedback and expertise to help you understand and prevent the causes of adverse events and to develop … successful approaches to improving quality and reducing adverse outcomes. … Some PSOs specialize by topic area, such as anesthesia or medication adverse events, while other PSOs

5. U.S. Department of Health and Human Services Guidance Regarding Patient Safety Organizations' Reporting Obligations and the Patient Safety and Quality Improvement Act of 2005 (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/fda-guidance-pso.pdf
   December 01, 2010 - with or affect providers voluntarily sharing non-PSWP with the FDA, which can include analyses of adverse … FDA-regulated entities generally have mandatory adverse event reporting responsibilities under the FDCA … Thus, FDA may inspect facilities and any adverse event/complaint files, including files containing PSWP … FDA Rule of Construction, the FDA- regulated reporting entity may have access to all complaint and adverse … For example, FDA may seek civil money penalties for violations of the FDCA, including violations of adverse

6. Strategies to Improve Patient Safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/strategies-to-improve-patient-safety_draft-report.pdf
   December 21, 2021 - Adverse Drug Events: General Medication Topics ...................................................... … ADEs: Reducing Adverse Drug Events in Older Adults .................................................. … events or to mitigate harm when adverse events do occur. … Incidence of adverse events and negligence in hospitalized patients. … Adverse Drug Events: General Medication Topics Table 2.

7. Resources | PSO
   pso.ahrq.gov/resources
   October 01, 2024 - Related Office of Inspector General (OIG) Reports Resources related to HHS OIG reports regarding adverse

8. Fedregnotice-05242016 (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/fedregnotice-05242016.pdf
   January 04, 2025 - page 86. 2 42 CFR 482.21(a)(2). 3 As of November 2014, 26 states and the District of Columbia had adverse … National Academy for State Health Policy, ‘‘2014 Guide to State Adverse Event Reporting Systems’’, … example, Delaware requires certain facilities that perform invasive medical procedures to report adverse … Department of Health and Social Services within 48 business hours of the occurrence and also keep the adverse … The document the provider prepares to meet its requirement about such adverse events is not PSWP.

9. PSO Quiz--Answer Sheet (pdf file)
   pso.ahrq.gov/sites/default/files/quiz/pso-quiz-answer-sheet.pdf
   January 01, 2020 - risk management department, the nurse prepares a written statement documenting her observations of an adverse … a written statement prepared for purposes of reporting to the PSO and/or subsequent analysis of an adverse

10. What are "patient safety activities"? | PSO
    pso.ahrq.gov/faq/what-are-patient-safety-activities
    By addressing common, preventable adverse events, a healthcare setting can become safer, thereby enhancing

11. PSO General Information
    pso.ahrq.gov/taxonomy/term/2/feed
    April 23, 2019 - By addressing common, preventable adverse events, a healthcare setting can become safer, thereby enhancing

12. Frequently Asked Questions | PSO
    pso.ahrq.gov/faq
    April 01, 2023 - By addressing common, preventable adverse events, a healthcare setting can become safer, thereby enhancing … patient safety events essential for identifying the underlying causes of infrequent, but often tragic, adverse … establishing strong protections, providers may engage in more detailed discussions about the causes of adverse … healthcare providers will ultimately result in more opportunities to identify and address the causes of adverse … The term "surveillance" in this context refers to the improved detection of events and calculation of adverse

13. Patient Safety and Quality Improvement Act of 2005; Public Law 109–41, July 29, 2005 (pdf file)
    pso.ahrq.gov/sites/default/files/Patient%20Safety%20Act%20PDF.pdf
    January 01, 2025 - —A provider may not take an adverse employment action, as described in paragraph (2), against an individual … reported to a patient safety organization; or ‘‘(B) directly to a patient safety organization. ‘‘(2) ADVERSE … —For purposes of this subsection, an ‘adverse employment action’ includes— ‘‘(A) loss of employment, … other employment- related benefit for which the individual would otherwise be eligible; or ‘‘(B) an adverse

14. PSO Quiz--Question Sheet (pdf file)
    pso.ahrq.gov/sites/default/files/quiz/pso-quiz-questions.pdf
    January 01, 2020 - risk management department, the nurse prepares a written statement documenting her observations of an adverse

15. Other Educational Materials | PSO
    pso.ahrq.gov/resources/educational-tools
    August 01, 2022 - hospitals during COVID-19 A demonstration of how PSO participation can save hospitals money and avert adverse

16. Choosing a Patient Safety Organization (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/pso-brochure.pdf
    March 01, 2020 - PSOs can help you develop successful approaches to improving quality and reducing adverse outcomes. … Some PSOs specialize in a specific area, such as anesthesia or medication adverse events, or focus on

17. PSO Common Terms and Acronyms | PSO
    pso.ahrq.gov/resources/acronyms
    August 01, 2021 - Equitable Relief – The Patient Safety Act prohibits a provider from taking an adverse employment action … Equitable relief refers to the relief that an individual may seek in a civil action to redress an adverse … the NPSD is to facilitate aggregation and analyses of patient safety event information to help reduce adverse

18. Patient Safety and Quality Improvement Act of 2005; Public Law 109–41, July 29, 2005 (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/Patient-Safety-Act-2005.pdf
    January 01, 2005 - —A provider may not take an adverse employment action, as described in paragraph (2), against an individual … reported to a patient safety organization; or ‘‘(B) directly to a patient safety organization. ‘‘(2) ADVERSE … —For purposes of this subsection, an ‘adverse employment action’ includes— ‘‘(A) loss of employment, … other employment- related benefit for which the individual would otherwise be eligible; or ‘‘(B) an adverse

19. About Common Formats | PSO
    pso.ahrq.gov/common-formats/about
    November 01, 2024 - The term "surveillance" in this context refers to the improved detection of events and calculation of adverse

20. How To Choose a PSO | PSO
    pso.ahrq.gov/work-with/choose
    November 01, 2020 - Some PSOs specialize by topic area, such as anesthesia or medication adverse events, so you may want